| NPI | 1396527552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN AMANDA GERAK Clinical Social Worker/Therapist 218-398-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2024-08-27 |